DR. CAROLINE LOUISE KING-WIDDALL M.D.
NPI 1336267707
Family Medicine in Keizer, OR
About Dr. Caroline Louise King-widdall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLINE LOUISE KING-WIDDALL M.D. (NPI 1336267707) is an individual family medicine provider in Keizer, Oregon, licensed in Oregon (MD151091) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Caroline Louise King-widdall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Caroline King-widdall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97317
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KEIZER, OR 97303
KEIZER, OR 97303
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Caroline King-widdall's NPI number?
The NPI number for Caroline King-widdall is 1336267707. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Dr. Caroline Louise King MD.
Where is Caroline King-widdall located?
Caroline King-widdall practices at 5940 Ulali Dr NE, Keizer, OR 97303. The listed phone number is (503) 813-2000.
What is Caroline King-widdall's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Caroline King-widdall enrolled in Medicare?
Yes. Caroline King-widdall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Caroline King-widdall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline King-widdall reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline King-widdall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caroline King-widdall accept?
Health plans from Kaiser Permanente list Caroline King-widdall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Caroline King-widdall was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Caroline Louise King-Widdall, M.D. · NPI 1336267707
Family Medicine physician in Keizer, Oregon. Individual provider, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1336267707 (Entity type: Individual)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD151091 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 5940 ULALI DR NE, Keizer, OR 97303-1500
- **Phone:** (503) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** December 9, 2024
- **Other identifiers:** Medicaid 500622839 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1336267707) · Data from the CMS NPPES public registry.